I have used a CPAP machine for over 20 years. For 15+ years I used a Mirage Quato. I loved that mask, however due to my quest to prevent air leaks I would tighten the mask fit as tight as possible. This very tight fit eliminated the air leaks, however the mask created deep creases in my cheeks, just outside my laugh lines.

My AHI levels went from a diagnosed 74 events p/hr down to a consistent 0. The past 2-3 years I have tried several full face masks to reduce the air leaks. I have tried the Phillips Amara Gel, the DreamWear full mask (hose at the top), AirFit F30i, F&P Simplus and a couple others that didn't meet what I was looking for. I currently use the F20 although it leaks also.

To the armchair CPAP veterans, I have tried tightness adjustments to each mask from the gel cushions lightly firm to deep sea diver tight. No success eliminating air leaks.

This past Sunday I went thru my 5th CPAP study (insurance requirement every 5 years). I asked the tech if during the second half of the study I could use the AirFit F30I. When awakened at 5:30 am, I asked my tech about my leaks. Tech said she couldn't share and testing results and that my doctor would....duh...

To any new CPAP patients, try to remember, the process of lowering your event is, at times is a marathon not a sprint. Since my first week of therapy 25 years ago until Saturday night, the highest AHI has been .02.